Donation Form! (Not Mandatory)
Form for those who want recognition, want the chance to win NFTs, or simple want to send a message to Polker or Ol Pejeta!

*TXIDs and Wallets will be verified
Sign in to Google to save your progress. Learn more
Email *
Donation (Token Amount + USD Value)? *
TXID? *
Which Blockchain? *
Wallet (that token was sent from)? *
Name or Psuedonym?
Would you like to be a named donor?
Clear selection
If you have message - leave it here!
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Polker. Report Abuse
Google Forms